DERRICK GREEN (Credential# 1548770) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2020. The license status is ACTIVE.
DERRICK GREEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.001826527. The credential type is medication administration certification. The effective date is July 1, 2018. The expiration date is June 30, 2020. The business address is 135 North Plains Ind Rd, Wallingford, CT 06492. The current status is active.
| Licensee Name | DERRICK GREEN |
| Credential ID | 1548770 |
| Credential Number | DSMA.001826527 |
| Credential Type | Medication Administration Certification |
| Business Address |
135 North Plains Ind Rd Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2016-07-01 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2018-08-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1548670 | DSMA.001326527 | Medication Administration Certification | 2011-03-16 | 2013-04-01 - 2015-03-31 | INACTIVE |
| Street Address | 135 North Plains Ind Rd |
| City | Wallingford |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dorothy Freelove | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-07-31 ~ 2020-07-30 |
| Tai-riesha Collins | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-07-12 ~ 2020-07-11 |
| Reshaya Dreckett | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-06-30 ~ 2020-06-29 |
| Brittany Bennett | 135 North Plains Ind Rd, Wallingford, CT 06492 | Real Estate Salesperson | 2019-03-07 ~ 2020-05-31 |
| Theresa Jacobs | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-05-17 ~ 2020-05-16 |
| Geraldine Allen | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-05-13 ~ 2020-05-12 |
| Pauline Frazier | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-05-03 ~ 2020-05-02 |
| Marie-louise Rustic | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-04-30 ~ 2020-04-29 |
| Shawn Rembert | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-04-20 ~ 2020-04-19 |
| Tyshaun Keene | 135 North Plains Ind Rd, Wallingford, CT 06492 | Medication Administration Certification | 2018-03-02 ~ 2020-03-01 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | Wallingford |
| Zip Code | 06492 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Wallingford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Derrick Cox | 104 Lenox Ave, Bridgeport, CT 06605 | Medication Administration Certification | ~ |
| Derrick Sheets | 156 Eldridge St Flr. 1, Manchester, CT 06040 | Medication Administration Certification | ~ |
| Derrick Graham | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2013-05-22 ~ 2015-05-21 |
| Derrick Hunter | 170 Pecal St, Waterbury, CT 06704 | Medication Administration Certification | 2020-04-30 ~ 2022-04-30 |
| Derrick Lewis | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 2005-04-27 ~ 2007-04-26 |
| Derrick Hall | 84b Linwood Ave., Colchester, CT 06415 | Medication Administration Certification | 2017-11-20 ~ 2019-11-19 |
| Derrick Campbell | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2016-02-18 ~ 2018-02-17 |
| Derrick Hunter | 170 Pecal Street, Waterbury, CT 06704 | Medication Administration Certification | ~ |
| Derrick Ward | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2017-07-21 ~ 2019-07-20 |
| Derrick Ford | 282 Main St. Ext, 2nd Fl., Middletown, CT 06457 | Medication Administration Certification | 2009-12-04 ~ 2011-12-03 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).